HomeMy WebLinkAboutMortgage_Richardson (16) �Es4 STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
,,, Via, County Township Year
i -,a FOR DEDUCTION FROM ASSESSED VALUATION
al... ;.'. •.t i� State Form 43709(R13/10-15) Gibson OVA 2020
*yam= 4' Prescribed by Department of Local Government Finance
INSTRUCTIONS: 1 I?J �r,Al 1frIr r,I���I File Mark
To be filed in person or by mail. S y1n `' "1' t Form filed with:
Filing Dates: 1) Real Property:Must be completed and dated in the calendar year for which the duction is sought.
Must be filed or postmarked with the County Auditor or County Recorder of the county where the property is County Auditor
located on or before January 5 of the immediately succeeding calendar year. ❑ County Recorder
2) Mobile/Manufactured Homes not assessed as Real Property:Must file with the County Auditor of the county
where the property is located during the twelve(12)months before March 31 of each year the deduction is sought.
See reverse side for additional instructions and qualifications.
Applicant(owner or contract buyer-see restrictions on reverse side)
STEPHANIE RAE RICHARDSON
Taxing District Key number/legal descriptio/ a/,i,,? )c;.
Record number Page number
OR k_Iahi �l� HARPER ADD 13/14PT 6 •— O DO,q Cg c,O1 p��0 go-
Assessed value of real prope s of Mortgage/Contract indebtedness unpaid as of Mortgage/Contract indebtedness unpaid as of Is the applicant the sole
assessment date,current ye assessment date,current year date of application legal or equitable owner?
64,982.00 ❑ Yes ❑ No
If no,what is his/her exact share of interest? If owned with someone other than spouse,indicate with whom
If name on record is different than that of applicant,indicate below: th property in question:Annually Assessed
IsReal Property ❑ Annually Assessed
Mobile Home(IC 6-1.1-7)
Name of mortgagee or contract seller
Acceptance Home Mortgage,LLC,ISAOA/ATIMA
Address of mortgagee or contract seller(number and street,city,state.and ZIP code)
101 Plaza East Boulevard,Suite 232,Evansville, IN 47715
Name of assignee or other owner or holder of mortgage
FIB k- ,,
.��.....-_f it ,t
Address of assignee(number and street,city,state,and ZIP code) ����Rn�(
Does applicant own property in If yes,what county? What Taxing District? Has this deductiOTIA (Yeque ° If yes,state amount of deduction
other county on property for ❑No
in Indiana? ❑Yes No current year? Yes •
A person is not entitled to this deduction unless the person has a balance on the person's mortgage or •• gye��'dbess that is recorded in the county
recorder's office(including any home equity line of credit that is recorded in the county recorderdeg V 11i .�asliis o ihteal fuction.
COUNTY AUDITOR 6a`"�
Deduction approved in the amount of:
20 20 (........_ 20 20 20 20 20
Signature of Ccituditor Vi County 1 Date(mo th,day,year)
II We certify under the penalty of perjury that the above and foregoing informatio ' true and correct and that the applicant i a resident of Indiana and
owner/contract buyer of the aforementioned property on date application is filed.
Signature(owner's full name) Date(month,day,year)
February 27,2020
Full resident address of applicant(number and street,city,state.and ZIP code s
15 23 . �Q!'nu St. Oak 1q4 C,• i' 9/ 60
Person authorized by duly executed Power of Atta'rney or by IC 6-1.1-12-0.7 / ' Date(month,day,year)
Y• / _ r
1 riA t 1f'1e •Sejl`(/)ce 41,C t February 27,2020
Address of authorized person (number and street,city,state,an iP code) / �/
)01 et -6 .i/' /A✓ L?°-2-7 6-
The penalties for perjury can include imprisonment up to two and a half years and a fine no to exceed$10,000.
RECEIPT FOR FILING TEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS
Name of applicant ILNmortgagee or contract seller
STEPHANIE RAE RICHARDSON F! cqfrtcll' 'nrr'' 1 I Got,aje.-
Date tiled(month,day,year) Amount of indebtedness Tazing,District
,5' y'2 2o MAR 04 ° a WO Oct
Key number/legal description
26-14-19-102-!a0.•18-007 A
Signature of Co� ditor/ oun 'ecor•-r �,^ ounty Date mo th,day,year)
`� GIBBON COUNTY •a�fehai f9urgh )1
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